| NPI | 1497442800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH18154) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH61088910) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |